FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1932531 · Received December 18, 2010

Report

Report Number
2050012-2010-01608
Event Type
Malfunction
Date Received
December 18, 2010
Date of Event
November 19, 2010
Report Date
November 19, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE NEONATAL SAMPLES WERE COLLECTED IN "BABY BULLETS" SAMPLE CONTAINERS. THE INSTRUMENT CALIBRATION AND QC RESULTS WERE ACCEPTABLE PRIOR TO AND AFTER THE EVENT. A BCI FIELD SERVICE ENGINEER (FSE) PERFORMED A PRECISION TEST AND OBTAINED 9.6% CV FOR BUN AND 2.1% CV FOR CR-S. THE FSE REPLACED THE SAMPLE PROBE AND PERFORMED A PRECISION TEST AGAIN, WHICH PRODUCED IMPROVED PRECISIONS OF 1.5% CV FOR BUN AND 0.8% CV FOR CR-S.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO AN ERRONEOUSLY HIGH CREATININE (CR-S) RESULT GENERATED BY UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. THE RESULT WAS REPORTED OUT OF THE LABORATORY, AND QUESTIONED BY THE MEDICAL STAFF BECAUSE THE RESULT DID NOT CORRELATE WITH THE UREA NITROGEN (BUN) RESULT. SUBSEQUENT TESTING ON THE SAME AND ON A REDRAW SAMPLE PRODUCED LOWER RESULTS. PATIENT TREATMENT WAS NOT CHANGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMSTRY ANALYZER JJE BECKMAN COULTER, INC. DXC 600 PRO NA

Patients

Seq Age Sex Outcome Treatment
1